MAGIC MART PHARMACY,INC


Address: 903 Highway 82 E Bldg G, Indianola, MS 38751-2325
Phone: 6628874135

MAGIC MART PHARMACY,INC (NPI# 1194804591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194804591
Entity Type Organization
Organization Name MAGIC MART PHARMACY,INC
Practice Address 903 Highway 82 E Bldg G
Indianola
MS 38751-2325
Practice Telephone 6628874135
Practice Fax Number 6628879703
Mailing Telephone 6628874135
Mailing Fax Number 6628879703
Enumeration Date 2006-11-04
Last Update Date 2019-12-19
Authorized Official Name GUY M MALONE (PRESIDENT)
Authorized Official Telephone 6628874135
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy 01301 MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MS MEDICAID DME 00440170 01
MS NCPDP 2517324 01
MS 00330007 05
MS MEDICARE DME 0966510001 01

Office Location

Street Address 903 HIGHWAY 82 E BLDG G
City INDIANOLA
State MS
Zip Code 38751-2325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841764636 Robyn Soignier Pharmacist 903 Highway 82 E Bldg G, Indianola, MS 38751-2325 2019-01-15
1922187327 Guy M Phillips Pharmacist 903 Highway 82 E Bldg G, Indianola, MS 38751-2325 2006-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649781253 Greater Hearts Adult Daycare Clinic/Center 124 Curtis Street, Indianola, MS 38751 2017-10-23
1083139505 Quality Family Care LLC Nurse Practitioner 310 Hwy 82 West, Suite D, Indianola, MS 38751 2017-08-05
1932641800 Creative Image Personal Care Services LLC Respite Care 503 Hwy 82 East, Indianola, MS 38751 2016-11-09
1225580442 St. John's Respite Care Services, LLC In Home Supportive Care 517 East Street, Indianola, MS 38751 2016-11-04
1992163588 Rona Kaye Huey Nurse Practitioner 310 Highway 82 W Ste D, Indianola, MS 38751 2016-02-10
1952641201 Julia R. Hill, Dmd, Pa Dentist 104 W. Gresham St., Indianola, MS 38751 2013-02-25
1649463977 Kenneth C Beal Jr. Dentist 913 B.b. King Road, Indianola, MS 38751 2007-08-21
1922136688 Lloyd Leon Patton Jr. Pharmacist 903 Highway 82 East, Building G, Indianola, MS 38751 2007-03-02
1770623506 North Mississippi Foot Specialists PC Durable Medical Equipment & Medical Supplies 110 East Baker Street, Indianola, MS 38751 2007-02-08
1548311525 Quality In Home Services Inc Homemaker 108 Martin Luther King, Indianola, MS 38751 2007-01-16
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336177393 Freds Stores of Tennessee Inc Pharmacy 210 Highway 82 W, Indianola, MS 38751-2133 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457973067 Thomas Street Compounding Pharmacy Pharmacy 115 N Thomas St Ste G, Tupelo, MS 38801-3082 2020-05-18
1013558824 Downhome Pharmacy, Inc. Pharmacy 606 W. Broad St, Monticello, MS 39654 2019-10-02
1356997985 Sonshine Pharmacy, LLC Pharmacy 2745 Highway 371 N, Mantachie, MS 38855 2019-08-09
1699331868 Fulton Specialty Pharmacy, LLC Pharmacy 1509 S Adams St Ste D, Fulton, MS 38843-6621 2019-05-14
1063971539 National Pharmacy of Mississippi, LLC Pharmacy 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 2019-03-14
1811468952 Davidson Pharmacy, LLC Pharmacy 203a N 2nd St, Booneville, MS 38829-2701 2018-12-16
1346710720 Tupelo Specialty Pharmacy, LLC Pharmacy 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 2018-11-28
1205302254 A & A Infusion & Specialty, LLC Pharmacy 423 Mcallister St, Greenville, MS 38701-4704 2018-10-17
1306325402 Family Drug Mart of Poplarville,llc Pharmacy 100 Highway 11 N, Poplarville, MS 39470-2217 2018-08-09
1851883789 Amory Discount Pharmacy, LLC Pharmacy 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 2018-06-06
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Competitor

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City INDIANOLA
Zip Code 38751

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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